OQ

Dear employee,

“Shift employees shall fill declaration at least 48 hours before shift starts, shall receive a response and then only resume duty- if they are not advised to be in quarantine. ”

Kindly answer the following questions, fill in the contact details and sign this disclosure form.

Question 1: Did you or any of your first-degree relatives or domestic helpers come to Oman in the last 14 days? * YesNo

Question 2: Did you come in contact with any confirmed, suspected or quarantined person with new novel coronavirus (COVID-19) in the past 14 days without taking protection (use of mask, keep safety distance, no physical contact)? * YesNo

Question 3: Are you presently suffering from any of the symptoms listed below? * YesNo

Question 4: Are you presently suffering from any health condition that put you at higher risk of serious illness? * YesNo

Question 5: Have you been tested for COVID-19 in the past 1 month ?* YesNo

If you or first-degree relative family member or domestic helpers are currently in Oman, with past-recent history of travel and have developed acute respiratory infection (sudden onset of at least one of the following: fever, cough, shortness of breath), you shall cease coming to office and immediately communicate with your line manager and OQ clinic.

I, (My name mentioned below) acknowledge that the above information is correct and I do accept the consequences on false information.

I acknowledge watching the video.

Invalid Security Code entered !